The proposed display will conform with all laws of the Commonwealth of Kentucky and Applicant agrees to comply with the standards as set forth in NFPA 1123 (Current Edition)

Notice of Applicant

Permits are granted at the sole discretion of the Local Official having jurisdiction. This document must be complete and approved by the Fire Chief, Mayor or County Judge Executive having jurisdiction where the Display is to be conducted. (A diagram must be attached to this application showing the point at which the fireworks are to be discharged, the location of all buildings, highways and other lines of communication, the lines behind which the audience will be restrained and the location of possible overhead obstructions). Proof of $10,000.00 minimum BOND or LIABILITY INSURANCE (Attach Certificate) KRS 227.720

PERMITS SHALL BE GRANTED SUBJECT TO COMPLIANCE TO THE FOLLOWING PROVISIONS:

Public Display of fireworks shall be permitted only when the actual point at which the fireworks are to be fired is at least the distance set forth below and twenty-five (25) feet from any overhead obstruction.

Minimum Radius of Display Site for Outdoor Display of Fireworks

Exhibit 1

Shell Size

Fallout Area

For SI Units 1 in. = 25.4 mm

< 3 in. (76 mm)

140 ft. (43 m)

3 in. (76 mm)

210 ft. (64 m)

4 in. (102 mm)

280 ft. (85 m)

5 in. (127 mm)

350 ft. (107 m)

6 in. (152 mm)

420 ft. (128 m)

7 in. (178 mm)

490 ft. (149 m)

8 in. (203 mm)

560 ft. (170 m)

10 in. (254 mm)

700 ft. (184 m)

12 in. (305 mm)

840 ft. (256 m)

> 12 in. (305mm)

Approval of Authority having jurisdiction

All projectiles shall be set up so that they will fire as nearly vertical as possible. Although they may be fired over water, the distances set up by Exhibit One above still apply. (Regarding boat traffic)

Aerial shells exceeding 6” or having more than a single break shall be fired only by a competent company actively engaged in the practice of performing fireworks display demonstrations.

Any Fireworks that remain unfired after the Display is conclude shall be immediately destroyed by the Operator.

No Fireworks Display shall be held during any windstorm in which the wind reaches a velocity of more than 15 mph. Extremely dry conditions may govern also. In such cases, the local Fire Chief may authorize the Display to be rescheduled.

All debris resulting from any Display shall be cleaned up and removed immediately by the Operator after conclusion of the Display.

At least two soda acid or other approved Class A (water type) fire extinguishers of at least 2½ gallons capacity each shall be kept at as widely separated points as possible within the actual area in which the discharging is being done.

The governing body of any county shall require a Bond deemed adequate by them. From the licensee, a Bond or Certificate of Insurance of not less than $10,000.00 shall be filed for all Fireworks Displays for which a permit is granted.